Value of cerebral perfusion and vascular reserve for the treatment of symptomatic intracranial arterial stenosis

被引：0
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作者：
Li’an Huang
机构：
来源：
NeuralRegenerationResearch | 2008年 / 01期
关键词：
were "intracranial stenosis; perfusion; brain reserve". Relevant data were also searched with the China Journal Net; using the same key words in Chinese from January 2000 to January 2007. In total; 101 articles were retrieved. Inclusion criteria: ① Articles describing the current status for the diagnosis and treatment of SICAS; ② Articles concerning research developments of cerebral perfusion and vascular reserve of SICAS. Exclusion criteria: duplicated articles. LITERATURE EVALUATION: This study included 21 articles of experimental studies and conference re- ports. DATA SYNTHESIS: When performing interventional surgery in SICAS patients; it is important to under- stand cerebral perfusion and vascular reserve in addition to knowing the clinical symptoms and degrees of arterial stenosis. In recent years; there are a growing number of reports on measurements of vascular reserve through the use of magnetic resonance perfusion imaging (MR-PWI). Investigations demonstrate cerebral perfusion and vascular reserve decrease in many SICAS patients. Many studies show that both improve after surgical intervention. CONCLUSION: Cerebral perfusion could provide direct evidence of whether ischemia has occurred in the brain. Because of lateral circulation and cerebral vascular reserve; intracranial vascular stenosis and/or decreased intracranial vascular blood-flow does not suggest decreased perfusion to the blood-supply region. It is important to understand the cerebral perfusion and vascular reserve before performing interventional surgery in SICAS patients. Key Words: intracranial stenosis; brain reserve;
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中图分类号：
R743 [脑血管疾病];
学科分类号：
摘要：
BACKGROUND: It is crucial to understand cerebral perfusion and vascular reserve in stegnotic arterial blood-supply regions to treat ischemic cerebrovascular diseases. However, effects on symptomatic intracra- nial arterial stenosis (SICAS) need to be further studied in additional applications. OBJECTIVE: To evaluate and summarize the effects of cerebral perfusion and vascular reserve on the treatment of SICAS. RETRIEVAL STRATEGY: A computer-based online search of English language publications from January 2000 to July 2007 was conducted in PubMed to identify publications that addressed cerebral perfusion and vascular reserve of SICAS. Search
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页码：79 / 82
页数：4
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